Please fill out the below information at least seven (7) days out from practice games. No requests will be accepted after this time.

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* 1. Contact Details

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* 2. Date of Match(es)

Date

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* 3. Host Club

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* 4. Venue of Match

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* 5. Address of Venue

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* 6. Name of Opposition Team

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* 7. Name of Opposition League

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* 8. Match Type 1

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* 9. Start Time of Match Type 1

Time

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* 10. Umpires Required for Match Type 1. Please note: NO LESS THAN TWO FIELD UMPIRES FOR ANY ONE GAME

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* 11. Quarters / Halves for Match Type 1

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* 12. Match Type 2 (if applicable)

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* 13. Start Time of Match Type 2 (if applicable)

Time

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* 14. Umpires Required for Match Type 2 (if applicable) Please note: NO LESS THAN TWO FIELD UMPIRES FOR ANY ONE GAME

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* 15. Quarters / Halves for Match Type 2 (if applicable)

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* 16. Match Type 3 (if applicable)

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* 17. Start Time of Match Type 3 (if applicable)

Time

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* 18. Umpires Required for Match Type 3 (if applicable) Please note: NO LESS THAN TWO FIELD UMPIRES FOR ANY ONE GAME

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* 19. Quarters / Halves for Match Type 3 (if applicable)

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* 20. Match Type 4 (if applicable)

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* 21. Start Time of Match Type 4 (if applicable)

Time

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* 22. Umpires Required for Match Type 4 (if applicable) Please note: NO LESS THAN TWO FIELD UMPIRES FOR ANY ONE GAME

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* 23. Quarters / Halves for Match Type 4 (if applicable)

By submitting this document, the club understands that any and all payments for appointed Umpires on the day must be paid in cash and within 15 minutes of the conclusion of the match. The Club also understands that any Umpires not present for the start of the match must be supplied by the competing Club(s) to make up a full compliment for the match to start.

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